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Life Recreated Pllc
Adolescent and Children Mental Health Clinic/Center in Hickory, North Carolina
NPI 1154006104

Life Recreated Pllc is an Adolescent and Children Mental Health Clinic/Center based in Hickory, NC and is specialized in Adolescent and Children Mental Health. Life Recreated Pllc practices in Hickory, NC. The NPI Number for Life Recreated Pllc is 1154006104 and holds a License No. (North Carolina).

The current practice location address for Life Recreated Pllc is 825 3Rd Ave Nw Ste 2, Hickory, NC and can be reached out via phone at 704-975-0691.

Location: 825 3Rd Ave Nw Ste 2, Hickory, NC, 28601-4806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154006104
Provider Name
Life Recreated Pllc
Credential
Provider Entity Type
Organization
Address
825 3Rd Ave Nw Ste 2, Hickory, NC, 28601-4806
Phone Number
704-975-0691
Fax Number
Provider Enumeration Date
06/19/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
825 3Rd Ave Nw Ste 2
City
Hickory
State
North Carolina
Zip
28601-4806
Phone Number
704-975-0691
Fax Number
person
Provider Business Mailing Address Details
Address
825 3Rd Ave Nw Ste 2
City
Hickory
State
North Carolina
Zip
28601-4806
Phone Number
704-975-0691
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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